Laserfiche WebLink
APPLICATI�1 FOR CONSTRUC'1�N PERMIT <br /> GITV OF EVERETT•BUILDING DIVISION � <br /> 3200 CEUAq STREET•EVERETT,WA 98201 •257•8810 <br /> ❑ DEMOUTION ❑ COMBINATION ❑ BUILDINO ❑ MECNANICAL ❑ PLUMBING G SIGN <br /> PROJECTADDRESS <br /> qOZ � <br /> N R M�IUpq�E55 LRY �p �y <br /> �ldF3��w.� �Jco.tl' � (0 7Ca�-s-( I Z <br /> iEN.Wi M��IACORE55 CIIY IW �ry <br /> �a.r.« <br /> ��Oa�t[iouMSqv[n 41LneppuEsS c�lr 2X' R�pry¢ <br /> �b�^�. <br /> f.ENERµfjYNlRMlp1 M�M1�WRE55 C�IY I'P PNONC Si4ElCtNSE• <br /> SIM�E <br /> MECII�MCftCONiN�CIO�i I,I�RAppPES$ GIY 1P WION[ S1I.}CI�C[115L• <br /> VtUtNUX'�LONiR�LIO{I WtLADJPC55 CIIV SF PIqNE Si�l[IICLNSE� <br /> coNm�cr racc or�wnK <br /> HEATING SYSTEM: ty�GAS ❑ELECTRIC ❑ <br /> DCS iOCWOBNN105WMEf�UGEI�/N•�t�VC�O LONUCLI`(RSCN/J+OMqNENO <br /> 1, ,�E' +F� NiC �/Fk (GE �IVFT �tIC,�� <br /> W4f—Lhr_ s3r.s�T /�•�vl.-rc.v..�..a-� <br /> �pQ �R,�� S �� ,C, I HEflEOV CERTIFV THAT I HAVE READ AND E%AMINED THIS <br /> rn��e o�auaD��+c APPLICATION AND KNOW TME SAME TO OE iRUE AND CORRECi ALL <br /> /—pLC PROVISIONS OF LAlYS AND ORDINANCES GOVERNING TNIS TVPE OF <br /> �'� �� `"-7r WORK WILL BE COMPLIED WITH WHETMER SPECIFIED NEREIN OR <br /> icceiocsuuvr�evprrnonenn�s�rowr�eciuwa+en�cNnwcories� NOL THE GRANTING OF A PERMIT DOES NOT PRESUh1E TO GIVE <br /> tor B�ocK U� AUTHORITV TO VIOLATE OR CANCEL TME PROVISION OF ANV <br /> OTHER STATE 09 LOC4L LAW REGUL4TING CONSTRUCTION OR THE <br /> PERFORI.IANCE Of WNSTRUCTION.TMAT I AM AUTNORIZEO BY THE <br /> OWNER OF THIS PROPERTY TO PERFOPM TNE WORN FOR WHILH <br /> APP�ICATION� 9—}—�h1PLY WITH TME STATE <br /> pAp�ELiA%10 MIMOCR CONTRFCTO LAW RC�fi 200 WAC <br /> LONSIPUC110N l0 W ICNDEP.Apq1E55.1ClERbNE 11V4B[P / <br /> x_ �.��aI J <br /> S�c�v��un[ oArc/'�— <br /> un ousiH¢,ucuunw <br /> PLUMBING MECMANICAL � <br /> NO. TYPE OF FI%TURE Op ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> �YATER CLOSET(TOILFT) �yC—AlIN�LG UNITS <br /> DAiHTU� FORCED AIR SYSTEh15 <br /> LAVATOHV�WASH BASIV� HEAT PUMP <br /> SMOV:ER UNIT HEATERS <br /> KITCHEN SINI(d DISP CLOTHES ORYERS <br /> OISMVlASHER RANGE HOOD <br /> LAUNDRV TPAY WATER HEATER <br /> CLOTHES WASMER � WOOD STOVE <br /> URINAL METAL FIREPLACE(WOOD BURNING) <br /> DPINNING FOUNTAIN FIREPLACE INSEPT(WppO DURNING) <br /> FLOOR ORAIN GAS FIREPIACE . <br /> BACNf'LOY!PREVENTERS GAS RANGE <br /> SINN�SERVICE—BAfl.ETC J GAS PIPING <br /> E%HAUSTFAN <br /> i <br /> SU�TOTAI 5 SUOTOTAL 5 <br /> PERh11T S PEPMIT 5 <br /> TOTALFEE 5 TOTALFEE 5 <br /> FOR OFFICE USE ONIY; <br /> iPONiSEID4R PGRSRB�C6 SRESCiBACN Fl��NO1FCNNUMB(fl {[( PKEIW�q <br /> [.�� /�� �$ <br /> uscion¢ i0*ence wcuusrte FEES VALUAT�ON FEE <br /> .']1[5 ❑NO BURDiNG <br /> tlEqNiIIMItAtpN IpCiOWLIlItA1 Si1CC[plppTl <br /> ur�rts ��33� <br /> cwuervr, <br /> xc.iverxr rnas�onrs acururtiow u�s�v�n. <br /> `"� / y 3 �;,Es � 4«,,.���k <br /> fqE5P1uNARN, PCOD RGSON �Wi1pN4PLNIChECM —r— <br /> /vJ <br /> � OIIICN <br /> lFE�UPNP[OD BUSpry <br /> NU SUiC OmlDup SU�CUMGE <br /> rrrEorcor�s* ruws�vvn vtpuv CITYOFEVERETT ruei�cxron�s <br /> ��_ � �� 7L LOCAL SALES � <br /> n.rt 7•�7�f( TAX CODE IS 3105 TOTAL j � <br /> _l— <br />